Vanessa Walker
FORT WORTH,TX
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
26
26
years of professional experience
Work History
UR Tech
Centinela Hospital Medical Center
Inglewood, CA
12.2018 - 06.2024
- · Communicated verification and authorization status updates with hospitals to facilitate decision-making for patient admissions and insurance coverage.
- · Strengthened relationships with external partners like insurance companies through proactive communication about authorizations, denials, appeals, or other related issues.
- · Facilitated dispute resolution between patients, insurance companies, and healthcare providers, resulting in satisfactory outcomes for all parties involved.
- · Reduced instances of denied claims due to insufficient documentation by meticulously verifying the accuracy of all submitted materials during the utilization review process.
Customer Service Representative/Administrative Assistant
Matisse Footwear
El Segundo, CA
10.2006 - 12.2018
- Handled customer inquiries and suggestions courteously and professionally.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Administrative Assistant
Toyota Financial Services Via Addecco
Torrance, CA
01.1998 - 09.2006
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
Education
No Degree - Business of Marketing
University of Phoenix
Tempe, AZ01.2028
Skills
- HIPAA Compliance
- Claims Processing
- Microsoft Office
- Persistence
- Insurance Verification
- Follow-up skills
- Medical terms and procedure knowledge
- Customer Service
- Appointment Scheduling
- Patient confidentiality
Timeline
UR Tech
Centinela Hospital Medical Center
12.2018 - 06.2024
Customer Service Representative/Administrative Assistant
Matisse Footwear
10.2006 - 12.2018
Administrative Assistant
Toyota Financial Services Via Addecco
01.1998 - 09.2006
No Degree - Business of Marketing
University of Phoenix